Julie Peterson, RN, MSN, HCS-D, is a senior consultant at Delta Health Technologies in Altoona, Pa. Julie has been in the health care industry for almost 20 years working with various home health agencies on ICD-9 coding, wound care education, OASIS assessment and functionality, and record review to develop staff development programs for clinical staff to improve patient care and outcomes.
Under PPS 2008, CMS is placing more weight on OASIS wound diagnoses listed in M0246, OASIS wound questions M0460 (stage of most problematic pressure ulcer), M0476 (status of most problematic stasis ulcer) and M0488 (status of most problematic surgical wound).
You could receive as much as $1,240+ more for high therapy, early episode patients. And, coding and OASIS together can give you a non-routine supply (NRS) payment as high as $360+.
Will you see the expected increase in payment for wound care patients this year? Only if your staff understands how OASIS and ICD-9 coding intersect.Join home care expert Julie Peterson and get tips on how to:
- Correctly identify wounds so the correct ICD-9 code(s) can be assigned to the patient record.
- Identify OASIS questions that correspond to the correct ICD-9 codes that affect wound care reimbursement.
- Document accurately to support coding and payment.
- Correctly complete the OASIS for some of the most challenging patient wound scenarios – from pressure ulcers to stasis and complicated surgical wounds.
- Pinpoint how the OASIS answers you choose drive your episodic payment and supply reimbursement.
Bonus: You’ll walk through wound patient scenarios to correctly complete the OASIS form and choose the appropriate diagnoses codes — use these in your own in-service training!
Tool: You’ll get a set of tip sheets to help your staff identify and stage wounds more accurately. Start using this free tool immediately at your agency!